HomeMy WebLinkAboutXC2023-0042 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
jx Comm'I F Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
Ix Building F Grading F-Drainage r Elec r Mech F- Plum
Cu Yd Cutl Cu Yd Fill
Project Address (Not mailing address) r Flood r Fir Liq F Landslide rN/A Floor Suite No
WO Newport Center Drive I 9th
950
Description of Work
ENANT IMPROVEMENT ON ±500 FT' OF THE TOTAL FLOOR AREA. SCOPE INCLUDES NEW Use F Const Type 1_A
# Storiesl9 # Units (if Res)F_
New/Add SF N/A Remodel SF ±500 Garage/New/Add F -- valuation $ F25,000.00
Material/Labor.
OWNER'S NAME Last Chappell
First Ally
Owner's Address
111 INNOVATION DRIVE Owner's E-mail Address
ACHAPPELL@IRVINECOMPANY.COM
F
City Irvine State CA
Zip 92617 Telephone F949.720. 1156
APPLICANT'S NAME Last
First
Applicant's Address
Applicant's E-mail Address
3 Park Plaza 480
_ amin@oarchinc.com
City Irvine State CA ZIP92614
'', Telephone 949.656.2882,703
ARCHITECT/DESIGNER'S NAME
Last
Architect/Designer's Address
3 Park Plaza 480
City Irvine State CA
First Dickson Lic. No. C-32277
Architect/Designer's E-mail Address
dickson@oarchinc. com
Zip 92614 Telephone 949.656.2882,7H
ENGINEER'S NAME Last Dirpes
First Chris Lic. No.r--
Engineer's Address Engineer's E-mail Address
16501 SCIENTIFIC WAY CHRIS@PDA-ENG.COM
City lirvine State CA Zip 92618
Telephone 949.852.1491
CONTRACTOR'S NAME/COMPANY Pr �l i p(C
Lic No. 9f Class,�--
Contractor's Address
Contractor's E-mail Address
l'bo t DevE ST . Sul i ?O N PkC I —
city) Nov _ @ Flc7Us�, co„v1
P gE 1 State (Cit— - Zip 9r�� Telephone 'f5lJ j,d
SETBACKS REAR SETBACKS FRONT V (�b2
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT 61q�PLAN CHECK NO. (/�
USE ZONE7,(! ys - 0 :0I
DEVELOPMENT NO 'PWO, 0051 PLAN CHECK FEES $ '( 5j01 • y1